Clinical analysis of 72 cases of bacterial meningitis in infants under 6 months old
10.3760/cma.j.issn.1008-6315.2018.03.019
- VernacularTitle:6月龄以下婴儿72例细菌性脑膜炎临床分析
- Author:
Luohui LIU
1
;
Minghui QIU
Author Information
1. 518028,广东省深圳市妇幼保健院儿科
- Keywords:
Bacterial meningitis;
Infants;
Under 6 months old;
Subdural effusion
- From:
Clinical Medicine of China
2018;34(3):277-280
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical characteristics and treatment outcome of infants with bacterial meningitis (BM) under 6 months.Methods Seventy-two cases of infants with BM under 6 months were retrospectively analyzed.Among them,the infants of age ranging from 29 days to 30 days were assigned into the 1 month age group,60 days to 179 days infants were assigned into the 2 to 5 months old group.Results The incidence of BM was more common in male (51 cases,70.8％) and infants with the age of 1 month (45 cases,62.5％).The clinical manifestations included fever (71 cases,98.6％),procalcitonin increase (55 cases,76.3％),respiratory tract infection (48 cases,66.6％),peripheral blood WBC count abnormal results (34 cases,47.3％),abnormal blood CRP (20 cases,27.8％) and nervous system abnormalities (18 cases,25％).Among the 1 month old group,12 infants had urinary tract infection (16.6％),and 6 had convulsions (8.3％).There were 4 cases (5.5％) with subdural effusion in the 2 ～ 5 months old group.Compared with the 2 ～ 5 months old group,the 1 month old group was more likely to be caused by urinary tract infection,more prone to seizures,the difference was statistically significant (x2 =3.996,3.927,P＜0.05).Compared with the 1 month old group,the 2 ～ 5 months old group was more prone to subdural effusion,and the peripheral blood white blood ceils was higher,the difference was statistically significant (x2 =7.059,4.295,P＜0.05).Conclusion There is no obvious clinical manifestation or laboratory examination for infants under 6 months old BM,so it is necessary to make early cerebrospinal fluid examination for early diagnosis and early treatment.
